Question 1

What causes pain between the shoulder blades?

Accepted Answer

The most common cause is poor posture — prolonged sitting with rounded shoulders and a forward head position strains the muscles between the shoulder blades. Other causes include disc-related pain in the thoracic spine, myofascial trigger points, rib joint dysfunction, and in rare cases, more serious conditions. A thorough physiotherapy assessment is essential for accurate diagnosis.

Question 2

How can I fix mid-back pain from sitting at a desk?

Accepted Answer

The most effective approach combines multiple strategies: take frequent breaks to stand and move (every 30–45 minutes), optimise your workstation ergonomics, perform specific exercises to improve thoracic extension and rotation, strengthen your scapular retractors and core muscles, and use a sit-stand desk if possible.

Question 3

Is thoracic spine pain serious?

Accepted Answer

Most thoracic spine pain is mechanical and responds well to physiotherapy. However, the thoracic spine can be affected by more serious conditions like vertebral compression fractures (especially in osteoporosis), tumours, or infections. Red flags include unexplained weight loss, night pain, fever, bladder or bowel changes, or pain after significant trauma.

Question 4

What exercises help thoracic spine pain?

Accepted Answer

Thoracic extension exercises (lying over a foam roller), thoracic rotation exercises (open book stretch), scapular retraction (rows, band pull-aparts), and posture awareness exercises (wall angels, chin tucks) are the most effective. The key is consistency — doing these exercises daily is more important than doing them intensely.

Question 5

Can a chiropractor or physiotherapist better treat thoracic pain?

Accepted Answer

Both can be effective, but physiotherapy offers a more comprehensive approach. While both use manual therapy, physiotherapy also addresses underlying muscle weaknesses, movement patterns, and ergonomic factors. A physiotherapist provides a complete rehabilitation programme with exercises you can do at home, which is essential for long-term results.

Thoracic Spine Pain

Understanding Thoracic Spine Pain

Our Treatment Approach

Take the First Step Toward Recovery

Benefits of Physiotherapy for Thoracic Spine Pain

Posture Correction

Restore Mobility

Desk Worker Relief

Full Function Return

Related Exercises

Doorway Chest Stretch

Thoracic Extension

Available Services

Related Conditions

Related Exercises